Rare left-sided presentation of internal jugular vein ectasia in an adult

A 27- year-old male with no known medical issues was referred to the otorhinolaryngology clinic for anterior neck swelling. He had complained of a solitary swelling over the anterior neck region since the age of 15 years. The swelling was painless and did not increase in size. He denied any history of dysphagia, dyspnea and hoarseness. There was no chronic cough, constitutional symptoms, and he had had normal thyroid function since noticing the swelling. He did not complain of regurgitation after meals and did not have halitosis. No similar presentation was noted among the family members. On examination, there was swelling over the left anterior neck region measuring 5×3 cm with normal skin color. Swelling occurred only during deglutition and the Valsalva maneuver. The swelling was soft, nontender and non-pulsatile. There was no other swelling over the head and neck region (Figure 1). No abnormality was seen on oral examination. Systemic examination, indirect laryngoscopy and thyroid function tests were normal